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Organization
KAISER FOUNDATION HOSPITAL
Active
Organization
KAISER FOUNDATION HOSPITAL
Active
Other names
KAISER FOUND HOSPITAL PHARMACY #85A
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
4601 DALE RD FL 1, MODESTO, CA 95356-9718
(209) 557-1131
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HSP48272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5624881
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/03/2007
Last updated
07/15/2025
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